Genital herpes during pregnancy: inability to distinguish primary and recurrent infections clinically.

Abstract:

OBJECTIVE:To determine if the signs and symptoms of genital herpes in pregnancy accurately identify primary genital herpes infections using serologic testing for final classification. METHODS:Twenty-three women with clinical signs and symptoms suggestive of primary genital herpes infections in the second and third trimesters of pregnancy were subsequently cultured and tested serologically (for herpes simplex virus type 1 and herpes simplex virus type 2 antibodies) and classified as having true primary (no herpes simplex virus type 1 or type 2 antibodies), nonprimary (heterologous herpes simplex virus antibodies present), or recurrent (homologous antibodies present) infections. RESULTS:Only one of 23 women with clinical illnesses consistent with primary genital herpes virus simplex infections had serologically-verified primary infection. This primary infection was caused by herpes simplex virus type 1. Three women had nonprimary type 2 infections, and 19 women had recurrent infections. Among culture-proven recurrent infections, 12 were caused by herpes simplex virus type 2 and three by herpes simplex virus type 1. Only one infant was born preterm, and no clinically significant perinatal morbidity was observed. CONCLUSION:Correct classification of gestational genital herpes infections can be accomplished only when clinical evaluation is correlated with viral isolation and serologic testing using a type-specific assay. Severe first episodes of genital herpes infections among women in the second and third trimesters of pregnancy are not usually primary infections and are not commonly associated with perinatal morbidity.

journal_name

Obstet Gynecol

authors

Hensleigh PA,Andrews WW,Brown Z,Greenspoon J,Yasukawa L,Prober CG

doi

10.1016/s0029-7844(97)00121-x

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

891-5

issue

6

eissn

0029-7844

issn

1873-233X

pii

S002978449700121X

journal_volume

89

pub_type

杂志文章
  • Pregnancy and reproductive function in a patient with non-mosaic Turner syndrome.

    abstract::A patient with non-mosaic Turner syndrome and normal fertility had four documented pregnancies, two of which were carried to term. Although her fertility history can be considered normal, she did not have spontaneous sexual maturation or menarche, and bilateral streak gonads were identified on laparotomy for tubal lig...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baudier MM,Chihal HJ,Dickey RP

    更新日期:1985-03-01 00:00:00

  • Ultrasound-detected subchorionic hemorrhage and the obstetric implications.

    abstract:OBJECTIVE:To estimate the association between the ultrasonographic diagnosis of subchorionic hemorrhage and adverse pregnancy outcomes. METHODS:This was a retrospective cohort study of all consecutive women undergoing routine ultrasonography before 22 weeks with a singleton gestation at one institution from 1994 to 20...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181e90170

    authors: Norman SM,Odibo AO,Macones GA,Dicke JM,Crane JP,Cahill AG

    更新日期:2010-08-01 00:00:00

  • Factors predisposing to and outcome of gestational diabetes.

    abstract::Two hundred thirteen women with abnormal glucose tolerance tests (GTTs) were diagnosed over 9 years by a screening program involving the total antenatal population. Each subject was matched for age, parity, and ethnic group with a control. The gestational diabetics were subdivided into classes A1 or A2 based on the fa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Maresh M,Beard RW,Bray CS,Elkeles RS,Wadsworth J

    更新日期:1989-09-01 00:00:00

  • The relationship of one abnormal glucose tolerance test value and pregnancy complications.

    abstract::While an abnormal oral glucose tolerance test (GTT) is known to be associated with an increased risk of pregnancy complications, the impact of one abnormal value is not clear. In 1986 we screened 4618 pregnant women for gestational diabetes at 24-28 weeks' gestation. Eighty-seven percent had normal results; of the 13%...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lindsay MK,Graves W,Klein L

    更新日期:1989-01-01 00:00:00

  • Uncommon type of placentation after previous cesarean deliveries.

    abstract:BACKGROUND:A rare type of placentation leading to cesarean delivery and hysterectomy is described. CASE:A young multigravida in the 26th week of gestation was referred to our department with a history of vaginal bleeding and suspected placenta previa. Three previous children were delivered by elective cesarean. Ultras...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00629-x

    authors: Krasznai I,Rigó J Jr,Boze T,Papp Z

    更新日期:2003-09-01 00:00:00

  • Exogenous gonadotropin therapy in World Health Organization groups I and II ovulatory disorders.

    abstract:OBJECTIVE:To analyze cumulative conception rates and the prognostic factors influencing them during exogenous human menopausal gonadotropin (hMG) therapy for World Health Organization (WHO) group I or II ovulatory disorders. METHODS:A retrospective review was conducted of 468 treatment cycles in 146 women with ovulato...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fluker MR,Urman B,Mackinnon M,Barrow SR,Pride SM,Yuen BH

    更新日期:1994-02-01 00:00:00

  • Medical liability reform: a case study of Mississippi.

    abstract::Mississippi enacted medical negligence and other tort reform legislation that generally became effective for causes of action filed on or after January 1, 2003, and September 1, 2004. Data regarding lawsuits against physicians insured by the Medical Assurance Company of Mississippi (MACM), the largest medical liabilit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318226ba47

    authors: Behrens MA

    更新日期:2011-08-01 00:00:00

  • Low maternal age and neonatal survival of extremely preterm twins (20-28 weeks of gestation).

    abstract:OBJECTIVE:We investigated the relationship between low maternal age and neonatal survival among extremely preterm twins. METHODS:This was a retrospective cohort study on live births of extremely preterm twins delivered to teenaged mothers (aged 15-19 years) in the United States within the period 1995 through 1998. Ove...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000126724.91988.fa

    authors: Salihu HM,Emusu D,Aliyu MH,Kirby RS,Alexander GR

    更新日期:2004-06-01 00:00:00

  • Tranexamic acid treatment for heavy menstrual bleeding: a randomized controlled trial.

    abstract:OBJECTIVE:To assess the efficacy and safety of an oral formulation of tranexamic acid for the treatment of heavy menstrual bleeding. METHODS:Adult women with heavy menstrual bleeding (mean menstrual blood loss 80 mL or more per cycle) were enrolled in a double-blind, placebo-controlled study. After two pretreatment me...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181f20177

    authors: Lukes AS,Moore KA,Muse KN,Gersten JK,Hecht BR,Edlund M,Richter HE,Eder SE,Attia GR,Patrick DL,Rubin A,Shangold GA

    更新日期:2010-10-01 00:00:00

  • Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial.

    abstract:OBJECTIVE:To address the impact of simple antenatal educational interventions on breastfeeding practice. METHODS:A randomized controlled trial was carried out in a tertiary referral center from May 2002 to December 2004. A random sample of eligible low-risk antenatal patients was recruited from clinics in the National...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000249613.15466.26

    authors: Mattar CN,Chong YS,Chan YS,Chew A,Tan P,Chan YH,Rauff MH

    更新日期:2007-01-01 00:00:00

  • A method of Pomeroy tubal ligation reanastomosis.

    abstract::A method of reanastomosis of the uterine tube after Pomeroy tubal ligation is presented. The pregnancy rate was 69%. The viable birth rate was 38%, with 1 ectopic pregnancy, 2 patients pregnant, and 1 patient lost to followup at the time of this report. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: McCormick W,Torres J

    更新日期:1976-05-01 00:00:00

  • Rating Pregnancy Wheel Applications Using the APPLICATIONS Scoring System.

    abstract:OBJECTIVE:To identify the top-rated pregnancy wheel applications (apps) using a newly developed APPLICATIONS scoring system. METHODS:A list of pregnancy wheel apps was identified. Consumer-based and inaccurate apps were excluded. The APPLICATIONS scoring system was developed to rate the remaining apps. Application com...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000842

    authors: Chyjek K,Farag S,Chen KT

    更新日期:2015-06-01 00:00:00

  • Racial Disparities in Mental Health Outcomes Among Women With Early Pregnancy Loss.

    abstract:OBJECTIVE:To explore the relationship between race and depression symptoms among participants in an early pregnancy loss clinical trial. METHODS:We performed a planned secondary analysis of a randomized trial by comparing treatments for medical management of early pregnancy loss. We hypothesized that Black participant...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004212

    authors: Shorter JM,Koelper N,Sonalkar S,Oquendo MA,Sammel MD,Schreiber CA

    更新日期:2021-01-01 00:00:00

  • Recurrence of group B streptococci colonization in subsequent pregnancy.

    abstract:OBJECTIVE:To estimate the prevalence of group B streptococci (GBS) colonization in a subsequent pregnancy in women with and without GBS colonization in an index pregnancy. METHODS:A retrospective cohort study of women who had two consecutive deliveries with the availability of GBS culture result at 35 to 37 weeks of g...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31817f5cb9

    authors: Turrentine MA,Ramirez MM

    更新日期:2008-08-01 00:00:00

  • Surgically treated, early-stage neuroendocrine small-cell cervical carcinoma.

    abstract::Fourteen patients with stage IB or IIA neuroendocrine small-cell cervical cancer were treated either by operation alone or operation in combination with postoperative radiotherapy at the University of California, Irvine Medical Center, and Memorial Medical Center of Long Beach, between January 1979 and February 1986. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sheets EE,Berman ML,Hrountas CK,Liao SY,DiSaia PJ

    更新日期:1988-01-01 00:00:00

  • Immunomodulation in women with endometriosis receiving GnRH agonist.

    abstract:OBJECTIVE:To assess the changes in the subpopulations of lymphocytes and in lymphocyte mitogenic activity in women with endometriosis receiving GnRH-agonist treatment. METHODS:Twenty-six women with advanced endometriosis from the National Cheng Kung University Medical College were studied. Each received a total of six...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0029-7844(97)00145-2

    authors: Hsu CC,Lin YS,Wang ST,Huang KE

    更新日期:1997-06-01 00:00:00

  • Pelvic lymphocele following radical para-aortic and pelvic lymphadenectomy for cervical carcinoma: incidence rate and percutaneous management.

    abstract::Thirty-six women, treated with radical hysterectomy (Piver types III-IV) plus systematic para-aortic and pelvic lymphadenectomy for cervical carcinoma, underwent serial postoperative ultrasound examinations to determine the incidence of lymphocele and the therapeutic efficacy of percutaneous catheter drainage. Pelvic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Conte M,Panici PB,Guariglia L,Scambia G,Greggi S,Mancuso S

    更新日期:1990-08-01 00:00:00

  • Trends in squamous cell carcinoma of the vulva: the influence of vulvar intraepithelial neoplasia.

    abstract:OBJECTIVE:To determine trends in the clinicopathology of vulvar squamous cell carcinoma over the past 2 decades, with particular reference to the possible effects of the increasing incidence of vulvar intraepithelial neoplasia (VIN) during this time. METHODS:Two cohorts of 56 and 57 women with squamous cell carcinoma ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00298-6

    authors: Jones RW,Baranyai J,Stables S

    更新日期:1997-09-01 00:00:00

  • Detection of benign endometrial masses by endometrial stripe measurement in premenopausal women.

    abstract:OBJECTIVE:Our objective was to estimate whether a transvaginal endometrial stripe of less than 5 mm in premenopausal women would exclude endometrial polyps and intracavitary leiomyomata, thereby eliminating the need for sonohysterography. METHODS:Data from 206 consecutive sonohysterograms performed in premenopausal wo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000130065.49187.c8

    authors: Breitkopf DM,Frederickson RA,Snyder RR

    更新日期:2004-07-01 00:00:00

  • Alternating weekly chemotherapy with etoposide-methotrexate-dactinomycin/cyclophosphamide-vincristine for high-risk gestational trophoblastic disease.

    abstract:OBJECTIVE:To evaluate the response rate and toxicity of alternating weekly therapy with etoposide-methotrexate-dactinomycin/cyclophosphamide-vincristine for women with high-risk gestational trophoblastic disease. METHODS:Twenty-two women with gestational trophoblastic disease received 126 cycles of the study regimen. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Soper JT,Evans AC,Clarke-Pearson DL,Berchuck A,Rodriguez G,Hammond CB

    更新日期:1994-01-01 00:00:00

  • Coexistent lithopedion and live abdominal ectopic pregnancy.

    abstract:BACKGROUND:Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial. CASE:A multigravida was admitted for complaints of abdominal swelling that had been occurring for 2 years and symptoms of pregnancy in the 3 months before admission. Radi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31819ecc82

    authors: Massinde AN,Rumanyika R,Im HB

    更新日期:2009-08-01 00:00:00

  • The significance of residual tumor after preoperative pelvic irradiation for stage II endometrial carcinoma.

    abstract::The prognostic significance of residual endometrial carcinoma in the hysterectomy specimen after preoperative radiotherapy is controversial. Sixty-two patients with stage II endometrial carcinoma were treated with a standardized program of preoperative radiotherapy, followed in six weeks by an extrafascial hysterectom...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Larson DM,Copeland LJ,Gallager HS,Wharton JT,Gershenson DM,Rutledge FN

    更新日期:1987-12-01 00:00:00

  • Delayed hemorrhage of a persistent ectopic pregnancy following laparoscopic salpingostomy and methotrexate therapy.

    abstract::This report describes the first known case of delayed hemorrhage of a persistent ectopic pregnancy following surgical and medical therapy. A 2.5-cm ampullary pregnancy without cardiac activity was removed by laparoscopic salpingostomy. The serum beta-hCG level before laparoscopy was 1542 mIU/mL, increasing to 3163 mIU...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dumesic DA,Hafez GR

    更新日期:1991-11-01 00:00:00

  • Association Between First-Trimester Subchorionic Hematomas and Pregnancy Loss in Singleton Pregnancies.

    abstract:OBJECTIVE:To assess the association of a first-trimester subchorionic hematoma with pregnancy loss in women with singleton pregnancies. METHODS:We conducted a retrospective cohort study of all women with singleton pregnancies presenting for prenatal care before 14 weeks of gestation over a 3-year period at a single ob...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003360

    authors: Naert MN,Khadraoui H,Muniz Rodriguez A,Naqvi M,Fox NS

    更新日期:2019-08-01 00:00:00

  • Serum C-reactive protein and Chlamydia trachomatis antibodies in preterm delivery.

    abstract:OBJECTIVE:To assess the association between Chlamydia trachomatis antibodies, antibodies to C trachomatis heat shock proteins 60 and 10, and C-reactive protein (CRP) levels in maternal serum measured by highly sensitive CRP assay during the first trimester and spontaneous preterm delivery before 37 weeks of gestation. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000164464.11979.5d

    authors: Karinen L,Pouta A,Bloigu A,Koskela P,Paldanius M,Leinonen M,Saikku P,Jêrvelin MR,Hartikainen AL

    更新日期:2005-07-01 00:00:00

  • Endometrial expression of Cyr61: a marker of estrogenic activity in normal and abnormal endometrium.

    abstract:OBJECTIVE:To compare the expression of Cyr61 in normal cycling endometrium with endometrium from women with polycystic ovarian syndrome (PCOS) and endometrial hyperplasia and adenocarcinoma. METHODS:This is a retrospective study of 59 samples of normal and abnormal endometrium. Endometrial biopsies were obtained from ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000269047.46078.28

    authors: MacLaughlan SD,Palomino WA,Mo B,Lewis TD,Lininger RA,Lessey BA

    更新日期:2007-07-01 00:00:00

  • Incidence and risk factors for stroke in pregnancy and the puerperium.

    abstract:OBJECTIVE:To estimate the incidence, mortality, and risk factors for pregnancy-related stroke in the United States. METHODS:The Nationwide Inpatient Sample from the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality, for the years 2000-2001 was queried for International Classific...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000172428.78411.b0

    authors: James AH,Bushnell CD,Jamison MG,Myers ER

    更新日期:2005-09-01 00:00:00

  • Pleuroperitoneal endometriosis.

    abstract::A nearly unique case is presented of pleural and peritoneal endometriosis with bloody pleural effusion and 4700 cc of bloody ascites. Theories of pathogenesis, differential diagnosis, and treatment are discussed. This represents another of the protean manifestations of endometriosis to complement the many others descr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Irani S,Atkinson L,Cabaniss C,Danovitch SH

    更新日期:1976-01-01 00:00:00

  • Heterotopic pregnancy in a natural conception cycle presenting as hematometra.

    abstract:BACKGROUND:Heterotopic pregnancy is a rare event in natural conception cycles. Diagnosis of heterotopic pregnancy requires a high index of suspicion. Described herein is a reported case of a heterotopic pregnancy presenting as hematometra. CASE:A young, multiparous woman, with her last menstrual period 6 weeks before ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000142698.17433.cd

    authors: Cheng PJ,Chueh HY,Qiu JT

    更新日期:2004-11-01 00:00:00

  • Intravenous iron therapy for severe pregnancy anemia with high erythropoietin levels.

    abstract:BACKGROUND:To demonstrate that intravenous (IV) iron therapy rapidly can secure the physiologic correction of severe nonhemorrhagic anemia more safely than blood component therapy and recombinant erythropoietin treatment. CASE:An 18-year-old woman with beta-thalassemia in her 33rd week of gestation had a hemoglobin le...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00261-5

    authors: Carretti N,Paticchio MR,Eremita GA

    更新日期:1997-10-01 00:00:00